| NPI | 1508112269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 05031348) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: FL BE75208) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |